A long time coming…

It’s been years since my last post and I feel bad for abandoning this blog. First things first, I am doing well and recently started my 3rd year of residency – PGY3! I am grateful to God, my wonderful wife and family for the support they have given me during this journey!

I guess life is what you make of it. I remember my psychiatrist telling me I can be whoever I want to be and I should not let bipolar restrict my ambitions and specialty choice. Fast forward to now, I passed all my USMLE medical licensing Exams, completed a surgical intern year and survived, and am now in a competitive specialty that I wanted to be in.

I did not intend to make this a long post, but rather a re-introduction. I guess I am now somewhat of a veteran in this personal fight against bipolar. My hope is that at least one person out there will benefit from our shared struggle to have the best lives possible.

I suppose this is the part where I say – I AM BACK!



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Another day, another dawn

I got released from the hospital a little early today than usual and thought I write a short note.

I must say, although my surgery rotation has been intense, it has been the most fulfilling experience and a great privilege. I think no where in life would I have had an opportunity to see the most sacred parts that make up human life. Patients entrust us with their very lives and it’s quite surreal. No wonder some surgeons think they are god by diverting the course of nature in vivo.

I suppose I am being drawn to the allure of invincibility that comes with being a surgeon even though I know I wouldn’t want to have the sleep-deprived lifestyle. Anyway, at least I get to play that role for a few weeks 🙂

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Encouraging ourselves

I just thought I encourage myself today after having to wake up very early in the morning for the past 3months to pre-round on my patients and then coming home late after reading about that day’s encounters, and Oh! not forgetting, preparing for the following day’s presentations. I often feel overworked on top of being sleep-deprived.  When I add the fact that I am constantly being judged and evaluated by residents and attendings alike, what I get is a concoction of discouragement and self-doubt. With all this going on, I often find myself questioning why I am a med-student and not working a 9-5 job or having a life like most of my high school friends.

However, I guess it is sometimes easy to focus on the small details of life, and not on the big picture of the journey. I have now come to realize that it is when we take some time to stop, pause, and reflect, on the good things in our lives that we find the strength to face tomorrow. Even though life is tough at the moment, I still feel privileged to be taking care of patients at the most vulnerable moments of their lives. I am made to remember the times when I helped deliver a couple’s first child or when I assisted a surgeon in removing a 36yo mother’s disabling uterine fibroids, or that time when I provided an assessment and plan for the child with leg swelling and saw him get well and walk after a few days. I thought I remind myself this since every dark cloud has a silver lining and we should always try to hold on to that lining…

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Becoming a doctor…

It has been a long time since I have updated this blog!  I definitely blame that on school; not that it’s any better now that I am in 3rd year, but just because it tends to suck all the energy out of me.

Other than that, things have been going great so far. I did really well on my first medical licensing exam (USMLE Step 1), got a 240+ — YAY!!!. For those who are unfamiliar with the med school shebang, basically we have to write 3 licensing exams but it is the 1st one that medical residency programs place the most emphasis on. Not all medical residency specialties are created equal; some like dermatology and plastic surgery have cut-offs below which they tend to give automatic rejections, whereas others like family medicine tend to be very lenient. The US national average score for step 1 is around 227 but different specialties have different averages for the match . For instance applicants who match in the R.O.A.D specialties (Radiology, Ophthalmology, Anesthesiology, Dermatology) tend to have scores around 240+ and those for say, psychiatry tend to have scores around 220, internal medicine – 226 etc.

In many ways, when I came back to med school after getting my bipolar diagnosis, I wasn’t sure what was possible and what wasn’t. Having been hospitalized for a broken mind, I feared that it could not be fixed or reusable. However, although I sometimes get discouraged and wonder what kind of doctor I am going to become because of my past mental health experiences, I have come to appreciate the power and resilience of the human spirit in light of its quest to achieve sanity and normalcy.  I can say, at least for now, that the fight goes on and I am enjoying the journey I am traveling…

I am definitely grateful to my fiancee and family who continue to believe in me, because, really, only God knows where I would have been without them. Anyway, I hope to regularly update from now on….

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Today has been one of those days when I take some time to reflect upon life and what’s most important. In particular, I was thinking about where I have come from and all it has taken me to be where I am. Surely, the road has been a rough one, but I am glad it’s been getting better and better.

As I mentioned in my previous post, I was quite anxious about going back to interview patients at the same psych hospital where I had been admitted. As part of my class requirement, we have to interview patients in the locked inpatient unit and then write a report. A few days ago we went to the hospital and, lo and behold, my patient had been admitted for his first episode of mania/paranoia/psychosis. Of course omitting most of the details on purpose, he was only in his early twenties, was living his life in peace until all of a sudden the monster struck.

It was hard seeing someone struggle to make sense of what was going on in his life, just like I had done. The bizarre internal voices tormenting him, the feeling of being watched and followed, and the insight that he could be going insane all made me sad about how mental illness is like a prison to those it afflicts.

To some extent, seeing my patient going through his episode mostly reminded me of where I have come from in my own journey with bipolar disorder. Although it has been a struggle to reconcile my disorder and my Christian faith, each day I am made to appreciate the fact that some of us have to carry our own crosses while living with thorns in our flesh. I wish this hadn’t been the case for me, but I guess according to a sermon I once heard, the severity of one’s trials determines the magnitude of one’s testimony. I hope it will all works out for both my patient and I.

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Wish me luck!

It’s been a little over a month since I have posted anything. I blame it on med-school! I know I should at least try to find time to write and keep up.

So, what has been going on? We recently started two interesting courses, Neuro-anatomy and Psychiatry. Neuro-anatomy has been quite a thrill because I had never taken a class on the brain before. It has helped me appreciate how complex the brain is and how amazing science has been at eluding the functions of it components. A part of me has already started drifting towards the ambition of becoming a neurologist when I graduate. Maybe that’s rushing it since I haven’t even done any medical rotations as yet, but who ever died of wishful thinking?

The hard part this semester, however, is the fact that in a few days I will be going on my first site visit as part of my Psychiatry class requirement. Basically, every other week we get to go to a locked psych inpatient unit and interview patients with the goal of learning how to document their illness(es), diagnose and come up with appropriate treatment plans. Although I have a major psych diagnosis myself, I am not too much bothered by the fact that I will be meeting others of my kind. However, there is a slight problem: it turns out that the hospital that I have been assigned to for my site visits is the same one where I was admitted as an inpatient over a year and a half ago. How random is that! I don’t quite know how to make of it because it hits too close to home for me as it reminds me of everything that happened when I was manic that I would rather not want to remember. Anyway, such is life and I guess I just have to ‘deal with it’.

So, wish me luck!

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Back to school

It has been a while since I have posted anything, but now I am back! I was M.I.A as I spent the past couple of months volunteering in a maternity ward at a hospital in Africa. I must say it was one of the best experiences I have ever had! Maybe more on this in posts to come…

Like most people with a working support unit, I was initially afraid of leaving the US for an extended period of time since it meant not seeing my psychiatrist and therapist for a while. I was quite afraid of the irregular sleep cycles that come with jet lag because I am one of those people who are particularly sensitive. However, I am glad that it all worked out and I managed to stay healthy and mentally sound. Now I am back in school and have started my second year (which contains the yucky Step 1 board exams) but I am ready to kick their butt.

Anyway, I suppose the main lesson I got when I was abroad was that I should not let my condition prevent me from pursuing my dreams. Life is hard for most people in this world (especially in the region where I was), and there are people with worse conditions than bipolar who still manage to live their lives to the fullest. Although I still have the fear that all my efforts may amount to nothing if I end up not being able to practice medicine (G-d forbid!), I feel I should still give life the best shot I have…

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